Pharmacy Services

pharmacy searchable CenCal Health Pharmacy Services provides a comprehensive pharmacy benefit that includes formulary management, a robust pharmacy network, and quality customer service. Our pharmacy network spans both Santa Barbara and San Luis Obispo Counties providing our members with convenient pharmacy locations.

Pharmacy Benefit Manager

CenCal Health has contracted with MedImpact as its Pharmacy Benefit Manager (PBM) to assist in the administration of our pharmacy benefit.

Download our Pharmacy Formulary

 

MedImpact provides:

  • Claims processing
  • Pharmacy network management
  • Prior authorizations
  • Customer service
  • Drug utilization management services

CenCal Health Pharmacy Team shall oversee MedImpact’s administrative and daily operational role. To contact MedImpact, call: (800) 788-2949.


Our Promise: Our Pharmacy Team is committed to providing consistent, compassionate, local support.

Current DUR Educational Articles

2020 DUR Educational Articles

2019 DUR Educational Articles

2018 DUR Educational Articles

2017 DUR Educational Articles

New Pharmacy Benefit: Home Blood Pressure Monitors

New Pharmacy Benefit, Effective May 1, 2021

 Automatic/Digital Home Blood Pressure Monitors

Effective May 1, 2021, Home Blood Pressure Monitors are a CenCal Health covered Pharmacy Benefit with a valid prescription sent to a contracted retail pharmacy. The valid prescription shall be sent to the member's retail pharmacy for fulfillment.

CenCal Health's Home Blood Pressure Monitor benefit includes:

One home blood pressure monitor every 5-years with a valid prescription from a provider

For a complete list of Home Blood Pressure Monitors/NDCs available on the CenCal Health Formulary, please click here.

For any questions regarding the Home Blood Pressure Monitor benefit, please contact the CenCal Health Pharmacy Department at (805) 562-1080

 

 

 

 


















































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Medi-Cal RX

**Medi-Cal Rx Transition has been delayed by DHCS until further notice

The Department of Health Care Services (DHCS) is delaying the planned Go-Live date of April 1, 2021, for Medi-Cal Rx. 

DHCS anticipates providing further information in May. Please note that DHCS will be working to update and/or remove, as applicable, provider guidance and associated Medi-Cal Rx provider bulletins/Newsflash articles in the coming weeks to reflect this change. 

Please review the update from Medi-Cal Rx here for additional information. 

You may also want to visit the Medi-Cal Rx Communications page for any upcoming bulletins and news.


 


















































































Formulary Updates

Physician Administered Drug Update: Preferred Biosimilars Effective 1/1/2021

Preferred Biosimilars

Physician Administered Drug Update: New Treatment Authorization Request (TAR) Requirements Effective 10/1/2020

Medical Pharmacy Benefit Physician Administered Drug Update

Formulary Updates

April-May 2021